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2C12 2 . 31PNI Coastal Teson � logy CDrporat ion , Oce ; P , 4 <br /> -- OP Io : SL <br /> ,a► �'�'� CERTIFICATE OF LIABILITY INSURANCE F <br /> DATE02/10 <br /> OZ/10/7112 <br /> THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, 714IS <br /> CERTIFICATE DOES NOT AFFIRMATIVELY OR NVOIATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br /> WELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT 11111rTWEEN THE ISSUING INSURER(S), AUTHORIZED <br /> REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER, <br /> IMPORTANT; If the Certificate holder hr an ADDITIONAL INSURED, the poleWloe) must be endoraad. It SUBROGATION 15 WAIVED, subject <br /> to <br /> the terms and condltlons of the policy, certain policies may require on endorsement A statement on this certificate does not confer rights <br /> to the <br /> carlificpte holder in 11941 of such endorsarnent a , <br /> PRODUCER800-338 -1381 C TAS <br /> ACECIMARSH <br /> 701 Market SL, Ste, 1100 888-629 -3173 PHONE FA <br /> St Louis MO 0101 r <br /> Kevin P. Walley P Avast: <br /> • COAST-2 <br /> NSURE11 fill AFFORDING COVERAGE NAIL <br /> INSURE Coastal Technology Corp. im"FR A : Hartford Insurance Company 22357 <br /> 3625 20th Street IMs R e <br /> Vero Beach, FL 32560 <br /> WBURRR C ; <br /> INSURER D <br /> 04SURER E <br /> WSURER P <br /> COVERAGES CERTIFICATE NUMBER: RLVIsION NUMBER: <br /> THIS IS TO CERTIFY THAT THE POLICIES OF 114SURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY <br /> PERIOD <br /> INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br /> CERTIFICATE MAY BE ISSUED OR MAY FERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DE$cAleED HEREIN 15 SUBJECT TQ ALL <br />THE TERMS, <br /> EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS . <br /> NSR AID —EFF PDJ <br /> NUEMTYPE OF NSURANCE afPDX <br /> LIMITS <br /> GENERAL UTABILITY i <br /> EACH CICCURRENC6 _ <br /> If <br /> MERCIAL GENERAL LIABILITY O RENTED <br /> S 6e oceu nce S _ <br /> CLAIMS-MADE OCCUR MED &XP IA9y ww Forson) S <br /> PERSONAL 6 ADV fNJU$ZY s <br /> GENERAL AGGREGATE $ <br /> 0 'L AGGREGATE LIMIT APPLIES PER; PR01UCT8 - COMPIOP AGG a <br /> PQLICY LOC I S <br /> AUYOMOBkE LIABILITY COMBrVED BINGLE LIMIT <br /> (Ea eu:dall} : <br /> ` <br /> ANY AUTO j EMILY INJURY (Par Person) S <br /> ALL CINNCOAUTOS EOUILYNJIRY { .. .1 . rJdenq S <br /> SCIIEOULED AUTOS <br /> AMA13E <br /> HIREC PJJTOS (Per errJden]) S <br /> NON-OWNEDAUT05 S <br /> S <br /> UNBRELLALWB <br /> OCCUR EACH OCCURRENCE <br /> EXCESS LIAR CLAIMS MADE AC�CuTE S „•,,,__�_ , , <br /> DEDUCTIBLE S <br /> RE(ENTION s _ s <br /> WORI(MM COMPXNSATON XTA Lti 0 H. <br /> AMD BMPLOYERs LIAM LITYn VI <br /> A ANY PROPRIETOPRARTNERIEXECUTIVE <br /> OFRC&RN EWARR EXCLUDED? <br /> YIN 84W8GGJIi278 11lOSlt4 11l01I4R EL EACH ACCIDENT t 1 ,OOb,Ob <br /> (Mandalaylr, NH) E.L DISEASE . EA EMPLOYEE $ 1 ,000104 <br /> 4If <br /> es, desrrbamic <br /> E PTION OF OPERATIONS below ( 4 OIS E • Y I.IMtT 1Z 11000,00i <br /> DESCRIPTION OF OPERATIONS lLOCATIONS I VEHICLES (Adaeh ACORD ier , AddleonalRemarks ScMiWa, Of more apiea In ragmlradl <br /> FOR PROPOSAL PURPOSES <br /> ERTIFICATE HOLDER CANCELLATION <br /> COASTAL <br /> SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br /> THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br /> COASTAL TECH CORPORATION ACCORDANCE WITH THE POLICY PROVISIONS. <br /> 31325 20TH STREET <br /> VERO 13EACH„ FL 32850 aUTHpRILEo REPRESENTATIVE <br /> (5 7988.2009 ACORD CORPORATION. All rights reserved. <br /> ACORD 25 (2009105) The ACORD name and logo are registered marks of AGORD <br />